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0152 EVANS STREET
i i i I Town of Barnstable Building ? Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Posted Until Final Inspection Has Been Made. Perm . ' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. 1 11 111 Permit No. B-20-177 Applicant Name: Robert Rostocka Approvals Date Issued: 01/21/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 07/21/2020 Foundation: Location: 152 EVANS STREET,OSTERVILLE Map/Lot: 142-139 Zoning District: RC Sheathing: Owner on Record: HENRY, DAVID P JR&LISA C Contractor Name: ROBERT A ROSTOCKA Framing: 1 Address: 152 EVANS STREET Contractor License: 113252 2 OSTERVILLE, MA 02655 Est. Protect Cost: $9,643.00 Chimney: Description: Insulation &Air Sealing. Permit Fee: $99.18 i Insulation: Project Review Req: Fee Paid:. 5 99.18 Date: 1/21/2020 Final: F Gp.`''✓ y— Plumbing/Gas Rough Plumbing: \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after"issuance. All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. !' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this,permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund11 M(as set forth in GL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable y �_ Building "Posted Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept .- M"M ntil Final Inspection Has Been Made.. - -, i Permit 16�p Forte+' Where a.Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final inspection has been made. I Permit No. B-19-3254 Applicant Name: NOWAK,GREGORY W& KATHLEEN S Approvals Date Issued: 09/30/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 03/30/2020 Foundation: Residential Map/Lot: 142-139 Zoning District: RC Sheathing: Location: 152 EVANS STREET,OSTERVILLE Contractor Name: Framing: 1 Owner on Record: NOWAK,GREGORY W&KATHLEEN S Contractor License: 2 Address: 152 EVANS STREET Est. Project Cost: $6,000.00 Chimney: OSTERVILLE,MA 02655 Permit Fee: $85.00 j Insulation: Description: Remodel Kitchen ; Fee Paid: $85.00 Project Review Re + Date: 9/30/2019 Final: J q� I _ Plumbing/Gas f v t, Rough Plumbing: Rifllding Official This permit shall be deemed abandoned and invalid unless the work auce thorized by this permit is cocommed'Within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and str.`uctures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and.shall be maintained open for public inspection for the entire duration of the work until the completion of the same. r Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and Fire-Officials are provided on this perrmit. Electrical p Y pp g Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection r 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed. -' Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: O�IMF q j aq Application Number......................... ............................... BA PMABLE, ;MASS. LD/'' (3 i)Ep-, Permit Fee............. .........0 ......... Other Fee:....................... 1639. `�� �cc TOVVIv ur 2019 Total Fee Paid.... ............. TOWN OF BARNSTABLE Permit Approval by....... ......................on.....`h4l 5....... NII BUILDING PERT ................Parcel.........13 q......................... APPLICATIONL s Section 1 —Owner's Information and Project Location - IPro'ect Address_— Vill e e Owners Name- ^Owners Legal'Address 9-7 --city C�►'1 �- e'r'V �� '`State.-/1� ZiP C>aG Owners Cell_# 3 7�y� E:mai1__� r� r vt� coy Section 2 — Use of Structure Y Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 - Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild �'❑�Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ . Solar Renovation ❑ Pool ❑ Insulation Other—Specify - � Section 4 -�Work Description Tact nnrlatr.A• 11/1 inns R Application Number.................................................... Section 5— Detail Cost of Proposed Construction .00 O Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 Application Number........................................... Section 9= Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number SCE- 734/01/5 Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature_ _ Date 30 APPLICANT SIGNATURE cSigngture- Date Print Name' Telephone Number E--mail permit to: Last updated: 11/15/2018 Section 12 —Department Sign-Offs i Health Department ❑ Zoning Board(if required) ❑ I Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ a For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: i (Address of job) Signature of Owner date Print Name i I Last updated: 11/15/2018 4 Qk The Commonwealth of Massachusetts Department of IndusftWAccidents Office of Investigations 600 Washington Street Boston,MA 02111 wwlv mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizadon/Individual): �J It Id M//4 /< Address: 1 rj`� �L?a r 5 - City/State/Zip: 0 1 Phone#• 'S �7 3 L�C�c1 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity.c employees and have workers' t3'• 9. ❑Building addition [No workers'comp.insurance comp•insurance.: e1�ed•] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.�am a homeowner doing all work officers have exercised their 1 LEI Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t C. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors mast submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the and penalties of perjury that the information provided above is true and correct Signstore: Date: Phone#• - -7 S Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLQ or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Q�ce of Investigad 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MASSA.FE Revised 4-24-07 Fax#617-727-7749 www.mam.gov/dia TOWN OF BARNSTABLE PERMIT CHECKLIST Sip off beurs for Health and Conservation are 8-9:30 a.m. and 3:30 4M p.m. A ce n�tcl ��, lt��g ell -13 1. NEW STRUCTURES/REMODELING/RENOVATION/ADDITIONS ❑ Site Plan showing setbacks of proposed and existing structures ❑ Commercial—One complete set of full sized plans one reduced 11"x1T' (plans may require a stamp by an architect or engineer). ❑ Residential - 5 Sets of floor plans no larger than 11"x 17" smoke/co detectors marked ❑ Worker's Comp.Affidavit and policy(if required) ❑ Res Check or COM check from the 2015 International Energy Cod Council(IECC) Letter of financial Interest for new houses only(not required for rebuild after teardown) ❑ Performance bond made out for$4.00/foot of road frontage(new construction only) 2. DEMOLTION OF A BUILDING (NOT PARITIAL) ❑ Everything above plus shut off letters from following utility companies: D Gas ❑ Electrical ❑ Water ❑ Sewer(if required) 3.-DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS ❑ Site Plan showing proposed location ❑ Construction plans showing framing detail(if new framing), ❑ Pools—Barrier details,pool specs(engineers design) ❑ Workman's Comp Affidavit and policy(if required) FAMILY APARTMENTS ❑ Section 1 Plus: ❑ Family Apartments are subject to approval from the Building Commissioner. Agreement must be signed, notarized and recorded at the Registry of Deeds and returned to the Building Department. i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ov Map d � Parcel Application 0 Health Division Date Issued Conservation Division V Application Fee -�T Planning V � !�y a g Dept. Permit Fee Date Definitive Plan Approved by Planning Board u�o.( <_ Historic - OKH Preservation/Hyannis Project Street Address Village G ✓f/ l" Owner "-W _ � \ &J4Je 12 yt �U� � �Address a-��s i���✓. j ,'' l i n, SM #4- a 26_Z:;,S Telephone -5776 7-- a73 7 — `G 0 a Permit Request Re- u k-&A o Square feet: 1 st floor: existing f677proposed 2nd floor: existing 950 proposed Total new (— Zoning District e- Flood Plain 46 Groundwater Overlay Project Valuation (P, (3Ud, dd Construction Type Uld-rcl,f�a4P Lot Size © s ,:� (Q Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) . Age of Existing Structure 41 Historic House: ❑Yes 44-Nb On Old King's Highway: ❑Yes 4ld-No Basement Type: Full ❑ Crawl ❑Walkout 4-Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing ` Z new , Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas AOiI ❑ Electric ❑ Other o ' ZE Central Air: ❑Yes �PJo Fireplaces: Existing New Existing wood/coal stove: ❑ eslo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: 0'existing �O new.o size_ Attached garage:Aexisting ❑ new size Shed: ❑ existing ❑ new size _ Other: =w' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ a Commercial ❑Yes `,lo If yes, site plan review # -Current Use Proposed Use APPLICANT INFORMATION � _K ( LJ C DER OR HOMEOWNER) a e _ �� �`vi � Telephone Number Address S^ � = License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR i Q,. DATE S y ' FOR OFFICIAL USE ONLY A@PLICATION# --� DATE ISSUED x i MAP/PARCEL N0. 1 ' _ •_ • _ , ADDRESS I VILLAGE OWNER DATE OF INSPECTION: FOUNDATION - FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL ! f f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ` f -z. DATE CLOSED OUT ASSOCIATION PLAN NO. . � � _ .. . ammamvealtlz of�assachus� .. . ". . : Deparfinent of� k-ial r�ct�det�s _ Office 9fIn7&fzgafiarrs 00 Washington SfreeP Workers' Compensation�us�n.ce Aldia ffid �aers/e r • ficant In€ormafzon ciutra ctors/IIecincian�/p nb ers Name r Please Print L :::= Are you as ? Check the apgropria�bum 1.❑ I Mn a •4. I am a -Type of pi.oj ed(rem e -------------- �y�with ❑ general cam-air and I � � . eVloyees(fhM and/arperk t®e).* have hared$�e� 6. ❑New coastrncti m 2.❑ I am a'sale prop iOi or partner_ listed on;fie-aftaehed sheet•' 7. slap and have na employees . These Remo ' have g ❑D . working for•me�any c�Pa-�Y• e�°ye�.ate have Workr�s' • mnoBtim [No wrsh, s' comp.insurance �p...msi�nre.# 9 ❑ g addiii d] 5• ❑ We are a ccapor�n and its 10.❑Electrical repairs or ada6nm 3• I am a ha eow*='dig i •wank officers have exercised$>ea 11.❑P Imnbing repairs.or =*Jf [No wad' camp �df man per MGL ❑RnMf an s . . adores h m ume req�d.]t F. 152, §1(4), and we have no mP employees. [No wado=) . 13.[] Other _ camp msmmce regriimij f H..�nm" eo'wn—who d=-Im t cmtq atndad a}so M out tti se�fion below showing tbes wmj=e campcosa jm poUOY -�.unnacmta tbat oheelc this b=amst attar�ed sari adds' d aU wodc and feu huz outside eoIIb �.mast submit a.ncw afadayitjn&eating R,rh. 3Ployars 1£die snb-canter tax trove FOR �e same of ffe sub-caaftuc os Md Staff whed=ornot those en ties have e¢�IOYees,dap tnIIstprvszdb flit¢• Wad=F camp.pnIicymnnbm I am an eacployer that iS providing]PorkPIS'compensation insurance for my emplvJ'P= Belaff'IS the pofiry and job cSZte in formation, Insurance Company Name: PM1icy#or Self ins.Lit.# Date: ----------------- Job Site-Address: Attach a copT of the workers' c mmation o1i may/ gyp.' °mP - - p cY declaraf nn page'(shu7ing the policy amber and ezpirafiQn date). Failxae.to.secme coverage as regoaed ender Secdm 25A ofMGL G. ]52 can lead to$re mPositirm of atm�I fine up to $1,500.00 and/ar one-year imprisMnnleIIt, as yPeIl as civil Pe 4Mcs of'a of up to $2.50.00 a day agahjst thq violetm Be_ advised tbt a Penalties in$e of a STOP WORg ORDER and a fine Inve Mf the DIA far msur�ce COFy of$ns statement may be forwazded to•he Office of Yetifation. Ida hereby certify pains-and penabjes o / fPe7ray that the information p ' rauided above is true mid co rrect Phone f Q ciQI use only, Da nit write in&is'•en, fa be catr�leted by city Qr.fawn Q�',r:al ' City or Tow�a: P�mifll�icense# •,Ss�Anfhoriiy(circle one): 1.Board of Health'2.h3m'Idmg Depart�t 3,Cty/Town Qerk 4.IIecfrical InspEt�.�r fi. Other Contact Person: Phsne . sfi, :� Town of Barnstable Regulatory Services • Thomas F.Gefler,Director 9..�•� Bnil ftg Division Tom Perry,Building Commissioner 200 Main Street,.Hyannis,MA 0260'1 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print DATE JOB LOCATION: C lVr�( e -� number/ ,per !� r/ �Jr`�' Il "` C�Y� -viIla� ,� � _ t L Q' Cp C "HOMEOWNER Cil�-' YM (� _ -[ I_.7 name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwe lire ac of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or,Parm structures, A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building-Official,that he/she shall be re onsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department t t minimum inspection procedures and requirements and that he/she will comply with said procedures and re • emeats. �o %0Z i a re of Homeowner Approval of Building Official Note: Three-family dwellings•containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a.building permit is required shall be exempt from the provisions . of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowner;who use this exemption are unaware that they are assuming the responsibilities � Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of warenessoften results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as itwould with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware:of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor, on the last page of this issue is'a form currently used by several towns. You may can;t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Town.of Barnstable RegnlatorY Services sow Thomas F.Geiler,Director 639 M1� ' Building Di 101a . Tom Perry,Building Commissioner. 200 Maim Street,Hyannis,MA.02601 www.town.barnstable.maxs Office:. 508-862-4038 Fax 508-790-6230 Property Owner Must Complete and.Sigel This Section If Using A.Builder as Owner of e oe subject r �. P •PAY . hereby authorize to act on rap behalf, . in 2R'T Q`tters relative to work authorized by this budding p t (Address of Job) QJSS Pool fences and alarms are the resp nsibility of the a hcant. Poo PP. .. ls. are not4o be filled before fence is ins ed and.pools are not to be utilized until all fugal inspections ar performed and accepted. S' tote of Owner Signature of Applicant. Print Name Print Name Date QFORMS:O ERMESIONPOOLS l;3Qpm ���1/� �h � -- ' 1 s / APT �1 P. JL awl �'�li�^ - - •y��•.!• s ;_ Tar - r=dam-''- �"►"'- �` ��.`_ » �� " Tfr - - r_ • K _ s R 1 l �w T a 152 Evans St . . Ost June 1 ., 2012 ,*THE TOWN OF BARNSTABLE N63 AG& 19. BUILDING - INSPECTOR APPLICATION FOR PERMIT TO ......Construct i...s. ......... .. le...family residence ............................................. TYPE OF CONSTRUCTION .........wood fram...e ............. .......... ................................................................................................. . ................................................19........ TO THE INSPECTOR OF.BUILDINGS: The undersigned hereby applies for a permit according to the following information: . . . Location ......0,§t,e�rville ....................................................... ...........................jA?Aag....(1�2:LA2).... ProposedUse ......single family...residence...... ........ .......................................................................................................I......................... Zoning District R.0....................................................................Fire District qjent/! st Fire District ............................................................. Name of Ownerq.o.h..n......B...... Lebel C.on t -CO -.�.P�9kddress .) �..Yianno Ave. � rville ..... ..... ........... . . ................ Name of Builder ................ same....................................................Address .......same............................................................................. Name of Architect ... ....................................................Address .......same ............................................................................. Number of Rooms ......6..........................................................Founclation' .p oured. Exierior .....Kq��q...�i.n.gl.-e,/.c.l.a.pb.o.a.rd....................Roofing ,,,white cedar shingle- ... .. .. . .. .. .... .. .. ..... ........................................................................... Floors .......b.aX'dxQo.d./.car.P.e.t.......................................Interior .......................................................... Heating ...q.-js..hot water - g .....?-1 . .....................................................................Plumbin ......................................................................... .00 Fireplace ... ......Approximate Cost .! ....................................................................... �?.000.00 Definitive Plan Approved by Planning Board --------------------------- Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH 83 Z , �26 K3 Z- I 33o . (I zo Z-Z .2,6)6z 461 .................................. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..............I.. . .............. ........................................... � �3 . - /�n�0Jo�� B. I��w*I C° Inc. ' ' �r - ^ ~"^""�^"^^�"� '~^ " _ no h ^~~-two story iVo---...�"^"�e�^ for --.. —.-.-.---. ` - ~ ^ single family dwelling� ' ------..-----..—.-----.--._.—.. Evans .Street � Location- _ .---,.—.----....--------, r ________0ataz��II�..________.__ a . John B. Ieb=I Construction Co. , Inc. Owner ...................................... frame Type of Construction .......................................... .~ . ~. --,--..—.--.-----,.-.--------.. #6n Plot ............................ Lot ................................ . ` ' Permit Granted —.-------_ ........... ^ . Dote of | _------_.---]q Date Comp ........................................` lA . . x ' . . PERMIT REFUSED ' ' ^'---''---'---..—...-------.. 19 ' ~ ----...--.--.—.—',..----.—.--.,,. �' \ ' ~._—...'~—...,..—._,._.---,'—.----.—. ' ' . . . _ ......_—.^—............................................... ..-----.—.---..---...----..-''---.' ^ � '� '. Approved ,--------------- 19 ' -------------'--''—'---^---^^— ` - ----.----------------.....~..' . � � 1 Assessor's map and lot number .. ...... ' Q A- GI/! - J7-"'zo ��'• >J Sf a��� rHk�< +`� ✓ .' ��F THE Sewage ,Permit number r Z MAR33TSDLE, i House.number ..............`..........,...................... ...................... 1639. qoo�" J O OR TOWN OF OF :BARNSTABLE B I�LDIN� � INSPECTOR P - - T R ` U G INS, E C 0 r APPLICATION FOR PERMIT TO ......f7 k.t..1.°L.... TYPE OF•, CONSTRUCTION ... ........... . ............. .........................................................T�yjc�iNr ............... ..............,�.../.:,6..................19........ TO`THE INSPECTOR OF BUILDINGS: f The undersigned hereby applies for a permit according to the following information: S � >J, . Location ........413 2 7.......... ? 11 .. ......... ..7.:........:......., .... .... ....... .......................................................... Proposed Use .......... � ? /t go ..../...... Zoning District ...............A„,.d..........................................Fire District .. ...... L 0.. W ^ Nameof Owner ........ ..............�... .�A.Y....J(.�....... / ........Address ..........................�...,..�.j....�.../� ... .............:......... jy7 Name of Builder ......., Qu!. .�(./h-�....�.!-:7..Acldress y�..../?`. ......•...���...... �i/iG Nameof Architect ........................................:........:................Address ............................................................ r Number of Rooms ...................... ........................................Foundation U. �:.......`......... Exterior Roofing /a .......... w.Q. ........................................................ ...... . .. ............ .....liV S J..:.: Q / S ................... Floors .�a/?...�"}.................................................Interior ........... f 0-? .... (/. Heating .............. LG!....................................................Plumbing ............................ ................................................ .........Approximate Cost 1e d U J Fireplace ,................................................ .......................................................... Definitive Plan Approved b,y;.Pianning Board ---------------____-----------19_______. Area Z... .:. r.., Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH rA r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable eg' ard'"ng the above construction. d A. Name ..... .......... ............................................. U� 6L Construction Supervisor's License . .................................. SHOIKEY, WILLIAM A=142-139 26861 ADDITION No ................. Pef;mit for .................................... Single, Family Dwelling ............................................................................... 152 Evans Street Location ................................................................. Osterville ................................................................................ Owner Willi.am..Shorkey.............................................. ........... .... Type of Construction ..................Frame........................ ................................................................................ Plot .... ....................... Lot ................................ August 20, 84 Permit Granted ........................................19. Date of Inspection* .....................................1.9 Date Completed ......................................19 dsessor"s ..�. map and lot number ..�......................... Co iT ET �wage ,Permit number .......... ....................................... SEPTIC SYSTEM M i House number. ............... .................................................::....,. IN S1 e�°LLE'® IN! COM ��m� _ WITH TITLE 5 YP � i � 0 Y a' TOWN OF -BARNSTABLET � � BUILDING:, INSPECTOR APPLICATION FOR PERMIT TO ..:... ?. !...,!.°�..... /.r7 7 UD L ...... i�? i / ...../ GLU t cC- G X �l C ..................................................................................... ......��..�� TYPE OF' CONSTRUCTION ..........:................... 9 ..............,�..,,214,6..................19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......1.6-2............47.Va i-S.........S..T..............�.��1...erk.(.Zllq........................................................... Proposed Use r t � U r�...f....... .. `........ Zoning District ...............�(,.. ./...:...................................Fire District .... ........ ....GAY.�1..//�� �J � �....lQ Name of Owner Ai—pl .........�Xdy- .(... <.... 1 Q ........:............Address .......5.... ....�.. ... �......� ..................... Name of Builder .... .:41. (, !. 4L.(..�.......�7;A,7n..Address .......A.14 ..../?`..... ...(. .......� � /C Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..........***. ....... ....................................:...Foundation .S9..d.11 . . .... .......�J Exterior ........liJ.Q.4. ..:.........................................................Roofing ........... .....�.a.......S..�L..!!I� 1..C. ................ e�` f.�.?. DY.... - Floors .........�. .. .. .................................................................Interior _Heating g Fireplace ....................4.......................................................Approximate Cost ............. ..........:....................... Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area TL., '� Diagram of Lot and Building with Dimensions Fee ---�f............ SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations o*To.wn..of.0ableg the above construction. Name ........................ r Construction Supervisor License p .............................. SHOMMY, WILLIAM 26861' ADVION No ................ Pe?mit for .................................... 1,4 single Fan-Lily Dwelling ............................................................................... 152 Evans street Location ................................................................ Osterville ............................................................................... Owner . William Shorkey ................................................................. LY Type of Construction Frame................................ .......... ................................................................................. Plot ............................ Lot ................................ August 20, 84 Permit Granted ................................ .......19 Date of Inspection ... .................... W7 Date Completed ........... ...................19 IS M_ 0 771*_ 44' t4t ' ST, Ir T7 tt rq I , � j � � ' r I ..i + -1 a 1 � ;.� .O r A i A { t i -{' i a _.'_ t , %7 T. T——i-- I I. V Vlk J4 --I— t ; -f _j C Lo' I=,L # 4 S- 51.. W4i I { w Il 1-4f ` ! Pit: p A. _ ' � s , - f ,-- - _ • 11 ra IMF ,._ _r:�-- �. -�— ---+— gg— — -- o" r —�-w— r---� € __t._ �'-_..�_. f' _—�—.— - --�-•---- - —�--•--: 1--- -3--�::�--_.._.a.._�L._�_._._1 k t � '���_ ,'�tp`[T� { .. r irs_ __ "2___ _ .—_•� __,___._ �— .—._- __...F_.-. ._.. _..__ �... ._ 1 — -...._ � �:.. _.L-, _�_-__.�..._� -�__�.--._.lt__ .._D__. _ _L.S_.— __.._i—_ _._..�L—�. .c f { 6 1 F r ' t - �_•_ ' �..____�___-tom— -- .._.J_—_ �_ _ 3 `_ _ _�._.:.�_.�_ _—_�•_____ ._ —�..}�__.t #�6 ._�_ ___1.-.-_._ y- r r _ ._ I I { ����—.:�-._.--�___�__--��.. �--Grp--1-- .{' -�-- • - - --- _ _._...-�L�-�v_ G.: �t� d � t r F F -R _ t i t 3 i 1 At e N, t , , JE] t + v to 1 4 n.�w,.:.._-- , : � i : ! i i ! � i I � t I�— . I • ! i 1 I [ � � I , _ . 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